Evidence map›Paper›PMID 28532397›Full record

SynthesisBMC public health2017

A systematic review of factors that shape implementation of mass drug administration for lymphatic filariasis in sub-Saharan Africa.

Adam Silumbwe, Joseph Mumba Zulu, Hikabasa Halwindi, Choolwe Jacobs, Jessy Zgambo, Rosalia Dambe, Mumbi Chola, Gershom Chongwe, Charles Michelo

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Adam SilumbweDepartment of Health Policy and Management, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia. adamsilumbwe@gmail.com.
Joseph Mumba ZuluDepartment of Health Promotion and Education, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
Hikabasa HalwindiDepartment of Environmental Health, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
Choolwe JacobsDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
Jessy ZgamboDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
Rosalia DambeDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
Mumbi CholaDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
Gershom ChongweDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
Charles MicheloDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, PO Box 50110, Lusaka, Zambia.
University of Zambia · ZM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding factors surrounding the implementation process of mass drug administration for lymphatic filariasis (MDA for LF) elimination programmes is critical for successful implementation of similar interventions. The sub-Saharan Africa (SSA) region records the second highest prevalence of the disease and subsequently several countries have initiated and implemented MDA for LF. Systematic reviews have largely focused on factors that affect coverage and compliance, with less attention on the implementation of MDA for LF activities. This review therefore seeks to document facilitators and barriers to implementation of MDA for LF in sub-Saharan Africa.

methodsA systematic search of databases PubMed, Science Direct and Google Scholar was conducted. English peer-reviewed publications focusing on implementation of MDA for LF from 2000 to 2016 were considered for analysis. Using thematic analysis, we synthesized the final 18 articles to identify key facilitators and barriers to MDA for LF programme implementation.

resultsThe main factors facilitating implementation of MDA for LF programmes were awareness creation through innovative community health education programmes, creation of partnerships and collaborations, integration with existing programmes, creation of morbidity management programmes, motivation of community drug distributors (CDDs) through incentives and training, and management of adverse effects. Barriers to implementation included the lack of geographical demarcations and unregistered migrations into rapidly urbanizing areas, major disease outbreaks like the Ebola virus disease in West Africa, delayed drug deliveries at both country and community levels, inappropriate drug delivery strategies, limited number of drug distributors and the large number of households allocated for drug distribution.

conclusionMass drug administration for lymphatic filariasis elimination programmes should design their implementation strategies differently based on specific contextual factors to improve implementation outcomes. Successfully achieving this requires undertaking formative research on the possible constraining and inhibiting factors, and incorporating the findings in the design and implementation of MDA for LF.

Indexed as

AdultAfrica South of the SaharaAgedAged, 80 and overAntiparasitic AgentsElephantiasis, FilarialFemaleGuidelines as TopicHumansMaleMass VaccinationMiddle AgedPrevalenceAntiparasitic AgentsBarriers and facilitatorsImplementationLymphatic filariasisMass drug administrationSub-Saharan Africa

Identifiers

PMID28532397
PMCPMC5441010
OpenAlexW2617671364

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.